**3.5 Culture shock**

Many international students suffer from alienation and culture shock when they seek to continue studying in other countries. This shock causes them psychological crises such as anxiety because of the distance from their family and country, the difficulty of a new language and speaking with others, and the difficulty of adapting to the new culture, which requires patience.

### **3.6 Family responsibilities**

Some university students have many family problems that cause them anxiety while they are studying. One of these problems is the illness of a family member, such as a parent, which requires the student to remain close to the patient. If the students are they have responsibility of the children and the husband. These problems affect the student academically because it hinders him in preparing well for tests, performing academic duties, and attending lectures, which causes him concern about how to balance his family and academic responsibilities.

### **3.7 Illness**

Some students who suffer from a chronic illness have anxiety [27]. For example, a student who suffers diabetes is required to take daily insulin injections and go to

the health center, and some may experience dizziness while at the university campus. Diabetes may hinder a student if his health condition relapses, and he may be absent from the university. Other illnesses include cancer, anemia, heart problems, asthma, and obesity. These diseases may negatively affect the academic level of the students, which causes them anxiety.

#### **3.8 Employment**

Some students who attend higher education institutions work off campus part or full time. Some of them may not be able to attend classes, specifically if they work in the mornings and their classes are scheduled for the same time. Some of them face anxiety if they cannot manage their time. They may fail their courses because of their absences or fail exams because they do not prepare well. As a result, they receive a lower GPA and an academic warning.

## **3.9 Discrimination**

Discrimination is a concern that many students face at higher education institutions. The institutions gather students and staff from different backgrounds, nationalities, ethnicities, religions, colors, cultures, and levels of intelligence. Some students feel anxiety because of unfair treatment from classmates, friends, and staff and faculty members. When the students feel they are not welcome and they are treated badly, this causes them to feel anxiety [28, 29].
